CAJ | 학술논문

目的探讨婴儿供肾儿童肾移植的临床效果.方法回顾性分析4例婴儿供肾儿童肾移植的临床资料、手术方式、免疫抑制剂应用和随访情况.结果术后随访2～14个月,所有受者均存活.1例术后发生肾功能延迟恢复,经腹膜透析治疗后恢复；1例出现尿漏,经再次手术后恢复；1例因移植肾动、静脉血栓形成而切除移植肾.3例受者移植肾功能恢复良好,末次随访时血肌酐分别为70 μumol/L、102 μmol/L和83 μmol/L.结论婴儿供肾儿童肾移植短期效果尚可,有利于缓解供肾短缺情况,值得深入研究.
목적 탐토영인공신인동신이식적림상효과.방법 회고성분석4례영인공신인동신이식적림상자료、수술방식、면역억제제응용화수방정황.결과 술후수방2～14개월,소유수자균존활.1례술후발생신공능연지회복,경복막투석치료후회복；1례출현뇨루,경재차수술후회복；1례인이식신동、정맥혈전형성이절제이식신.3례수자이식신공능회복량호,말차수방시혈기항분별위70 μumol/L、102 μmol/L화83 μmol/L.결론 영인공신인동신이식단기효과상가,유리우완해공신단결정황,치득심입연구.
Objective To investigate the clinical features of en-bloc kidney transplantation of infant donors into pediatric recipients.Method A retrospective analysis of 4 infant en-bloc kidney transplants in pediatric recipients was performed.Results During the follow-up period of 2 to 14 months,the survival rate of recipients was 100％.Complications included delayed graft function in 1 patient (managed by peritoneal dialysis),urine leak in 1 case (treated by reoperation),and vascular thrombosis in 1.Due to thrombosis,one graft was lost.Of the remaining 3 recipients,all had excellent long-term function.At last follow-up,their serum creatinine levels were 70,102 and 83 μmol/L respectively.Conclusion Favorable outcomes can be obtained from en-bloc transplantation from infant donors.The use of this donor population for pediatric recipients should be encouraged.